1. An mpox virus mRNA-lipid nanoparticle vaccine confers protection against lethal orthopoxviral challenge.
- Author
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Freyn, Alec W., Atyeo, Caroline, Earl, Patricia L., Americo, Jeffrey L., Chuang, Gwo-Yu, Natarajan, Harini, Frey, Tiffany R., Gall, Jason G., Moliva, Juan I., Hunegnaw, Ruth, Asthagiri Arunkumar, Guha, Ogega, Clinton O., Nasir, Arshan, Santos, Genesis, Levin, Rafael H., Meni, Anusha, Jorquera, Patricia A., Bennett, Hamilton, Johnson, Joshua A., and Durney, Michael A.
- Subjects
MONKEYPOX ,NANOPARTICLES ,SMALLPOX vaccines ,VACCINIA ,VACCINES - Abstract
Mpox virus (MPXV) caused a global outbreak in 2022. Although smallpox vaccines were rapidly deployed to curb spread and disease among those at highest risk, breakthrough disease was noted after complete immunization. Given the threat of additional zoonotic events and the virus's evolving ability to drive human-to-human transmission, there is an urgent need for an MPXV-specific vaccine that confers protection against evolving MPXV strains and related orthopoxviruses. Here, we demonstrate that an mRNA-lipid nanoparticle vaccine encoding a set of four highly conserved MPXV surface proteins involved in virus attachment, entry, and transmission can induce MPXV-specific immunity and heterologous protection against a lethal vaccinia virus (VACV) challenge. Compared with modified vaccinia virus Ankara (MVA), which forms the basis for the current MPXV vaccine, immunization with an mRNA-based MPXV vaccine generated superior neutralizing activity against MPXV and VACV and more efficiently inhibited spread between cells. We also observed greater Fc effector T
H 1-biased humoral immunity to the four MPXV antigens encoded by the vaccine, as well as to the four VACV homologs. Single MPXV antigen–encoding mRNA vaccines provided partial protection against VACV challenge, whereas multivalent vaccines combining mRNAs encoding two, three, or four MPXV antigens protected against disease-related weight loss and death equal or superior to MVA vaccination. These data demonstrate that an mRNA-based MPXV vaccine confers robust protection against VACV. Editor's summary: The recent mpox virus (MPXV) outbreak has highlighted the need for high quality and safe Orthopoxvirus vaccines. The vaccine administered in response to the outbreak, a modified vaccinia Ankara (MVA), was effective at reducing mpox severity and transmission; however, it is possible that a next-generation vaccine may have performed even better. Here, Freyn et al. tested such a candidate vaccine, an mRNA vaccine encoding four highly conserved MPXV antigens. The mRNA vaccine performed as well as or better than an MVA comparator in terms of eliciting immune responses and protecting against lethal infection in mice. These data support the further development of mRNA vaccines targeting orthopoxviruses to allow for rapid response during an outbreak. —Courtney Malo [ABSTRACT FROM AUTHOR]- Published
- 2023
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